Substance of Abuse

Question 1

Other names for Ethanol

Answer 1

Grain alcohol
Spiritus vini rectificatus
Neutral spirit

Question 2

Most widely abused recreational substance

Answer 2

Ethanol

Question 3

Responsible for major medical and socioeconomic problems

Answer 3

Ethanol

Question 4

Alcohol content of Beer

Answer 4

4-5%

Question 5

Alcohol content of Wine

Answer 5

10-14%

Question 6

Alcohol content of Distilled spirits

Answer 6

30-50%

Question 7

Metabolites of Alcohol

Answer 7

Acetaldehyde, Acetic Acid

Question 8

S/S of Alcohol Poisoning

Answer 8

CNS depression, Acid-base Imbalance,
Metabolic Acidosis, Impaired Thermal Regulation
Hypoglycemia, Coma, Tachycardia

Question 9

Treatment of Acute Alcohol Toxicity

Answer 9

Supportive Care
Fluids and Electrolytes
Vit B1 (Thiamine)

Question 10

Treatment of Chronic Alcohol Poisoning

Answer 10

Disulfiram - Aldehyde dehydrogenase Inh
Naltrexone, Acamprosate - Reduce cravings and Inc. Abstinence rate
Behavioral Therapy

Question 11

Active Ingredient of Tobacco

Answer 11

Nicotine

Question 12

Lethal dose of Nicotine

Answer 12

Adult: 40-60mg
Child: 1.5 - 2 mg/kg

Question 13

Treatment of Nicotine Toxicity

Answer 13

Activated Charcoal
Gastric Lavage
Mecamylamine (Inversine®)

Question 14

From Papaver Somniferum (opium poppy)

Answer 14

Opioids

Question 14

Natural Opioids

Answer 14

Opium, Morphine

Question 15

Semi-synthetic Opioid

Answer 15

Heroin (Diacetylmrphine)
Codeine (Methylmorphine)

Question 16

Synthetic Opioids

Answer 16

Methadone & Meperidine (Pethidine)

Question 17

Opioid Toxicity Manifestations

Answer 17

Coma (LOC)
Miosis (pinpoint pupil)
Respiratory depression

Question 18

Meperidine may cause

Answer 18

Seizure

Question 19

Treatment for Opioids Toxicity

Answer 19

Naloxone
(pure Antagonist)
Naltrexone
Nalorphine
Nalmefen

Question 20

Hallucinogens

Question 20

Hallucinogens

Answer 20

Lysergic Acid Diethylamide (LSD)
Marijuana
Phencyclidine
Mescaline
Lysergic Acid Amide (LSA)

Question 21

Marijuana is derived from?

Answer 21

Cannabis sativa/sativum

Question 22

Other names for Marijuana

Answer 22

Mary Jane, Hashish, Indian Hemp, Weeds

Question 23

Most commonly used Illegal Drug

Answer 23

Marijuana

Question 24

Active constituent of Marijuana

Answer 24

△-9-tetrahydrocannabinol (THC) Cannabidiol

Question 25

Angel Dust

Answer 25

Phencyclidine

Question 26

Dissociative anesthetic

Answer 26

Phencyclidine

Question 27

S/S of Phencyclidine Poisoning

Answer 27

Low: Bloodshot eyes, Loss of balance Med: Anesthesia, HPN High: Convulsion

Question 28

Tx of Phencyclidine poisoning

Answer 28

Benzodiazepine, Diazepam (for seizure) Nitroprusside (for HPN)

Question 29

Mescaline is derived from

Answer 29

Peyote cactus (Lophophora williamsii)

Question 30

Mescaline Toxicity S/S

Answer 30

Sympathomimetic Toxidrome

Question 31

TF: LSD is an Ergot derivative

Answer 31

True

Question 32

Most potent hallucinogen

Answer 32

LSD

Question 33

LSA is derived from

Answer 33

Morning glory family (Ipomoea indica)

Question 34

Shabu

Answer 34

Methamphetamine

Question 35

Ecstasy

Answer 35

3, 4-methylenedioxy-N-methamphetamine, or MDMA

Question 36

S/S of Amphetamine poisoning

Answer 36

Seizures Psychosis/Agitation Hypertensive crisis Arrhythmias

Question 37

Treatment for Amphetamine Poisoning

Answer 37

Seizures: Diazepam, Phenytoin Psychosis/Agitation: Chlorpromazine, haloperidol, Diazepam Hypertensive crisis: B-blockers, a-blockers Arrhythmias: Propanolo, Lidocaine

Question 38

Cocaine is derived from

Answer 38

Erythroxylon coca

Question 39

Cocaine

Answer 39

Crack, Freebase

Question 40

Treatment of Cocaine Toxicity

Answer 40

Seizures: Benzodiazepine Psychosis: Neuroleptics HPN: Labetalol